God's Nation Network Membership Form

God's Nation Network Membership Form
Name *

First Name Last Name
Gender *

Male Female
Date of Birth *

Month Day Year
Date
Email *
example@example.com
Phone Number *
Please enter a valid phone number.
Address *

Street Address

Street Address Line 2

City State

Zip Code Country
Marital Status *

Married Single Divorced
Spouse Name (if applicable) *
Church or Ministry Name *
Church or Ministry Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Date Church or Ministry Founded *

Month Day Year
Date
Current Ministry Title *

Licensed Minister Elder Pastor Prophet Evangelist Overseer Bishop Apostle Other
In what ministry and date were you ordained? *
List officers/elders/board of the church or ministry *
Have you ever been under the covering/in fellowship with another organization(s)? *

Yes No
Name(s) of the previous Organization(s) you were a part of *
Are you still a member of that organization? *

Yes No
If you answered yes, would the current organization object to your association with God’s Nation Network or any verbiage within the Statement of Faith?

Yes No
What are some of your talents and/or giftings? *
Why have you chosen God’s Nation Network for membership affiliation? *

Spiritual Covering Convenience Legal Reasons Agreement with vision Disaffiliated from another organization Affiliation Other
Are you committed to another fellowship? *

Yes No
If yes, to what level?

Little Moderately Deeply
If Yes, what is your leaders name?
Has your ministry ever been involved in a church split? *

Yes No
Have you ever had any civil or criminal proceedings against the ministry? *

Yes No
If yes, please explain.
Are there currently any legal judgments against the ministry? *

Yes No
If yes, please explain.
How did you hear about God’s Nation Network? *
How do you believe your connection with the God’s Nation Network fellowship can be beneficial to all? *
Are you looking to change/add “God’s Nation” to the name of your church? *

Yes No
What are you looking for out of this fellowship? *
To what monetarily level are you (as a Church/Ministry) able to pledge monthly? (Ex. $50 a month)
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